D & A Wallace, Inc. is a Dental Clinic in Emmett, Idaho. It is located at 2003 E Quail Run Rd, Emmett, ID and its contact number is 208-365-3534. The authorized person for D & A Wallace, Inc. is Mrs. Andrea Layne Wallace
who is Secretary/owner of the clinic and their contact number is 208-365-3534. The primary license number for D & A Wallace, Inc. is 3656 (Dentist) in Idaho. D & A Wallace, Inc. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
D & A Wallace, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
D & A Wallace, Inc.
Specialization:
Dentistry
Clinic Address:
2003 E Quail Run Rd, Emmett, Idaho, 83617-5059
Phone:
208-365-3534
Fax:
208-365-6231
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Andrea Layne Wallace
Position:
Secretary/owner
Contact Number:
208-365-3534
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for D & A Wallace, Inc. clinic are as mentioned below.
NPI Number:
1144498437
NPI Enumeration Date:
20 Feb, 2008
NPI Last Update On:
20 Feb, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for D & A Wallace, Inc. are as mentioned below.
Specialization
License Number
State
Status
Dentist
3656
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8071026
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
D & A Wallace, Inc. 2003 E Quail Run Rd, Emmett, Idaho
Zip:
83617-5059
Phone Number:
208-365-3534
Fax Number:
208-365-6231
Patients can reach D & A Wallace, Inc. at 2003 E Quail Run Rd, Emmett, Idaho or can call to book an appointment on 208-365-3534. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.